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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35471
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Having a mild chest pain above left breast comes and goes

Resolved Question:

Having a mild chest pain above left breast comes and goes maybe twice a day and it's when I lay on left side and flip to right side or sit up
Submitted: 6 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 6 years ago.


Since how long is the pain?

Is there pain when you move your upper back or shoulder?

Were any investigations done?

Any significant past medical or surgical history?

Are you diabetic, have high blood pressure, are sedentary, stressed, over weight, smoker, take alcohol?

Is your cholesterol or lipid profile normal?

Dr. Arun

Customer: replied 6 years ago.
Only last for a minute..some upper back pain mild no past history not overweight or smoke or anything never had cholest checked before
Expert:  Dr. Arun Phophalia replied 6 years ago.


Following are the possibilites for your pain;

A) Costochondritis; it is inflammation at the junctions of rib and cartilage or with the breast bone / sternum. Local analgesic ointment, or spray, chest brace and warm compresses with Ibuprofen is helpful. Another possibility is muscle sprain. Please read about the costochondritis;

B) Pinched nerve in the neck can also cause chest pain. A physical examination by a doctor is usually able to give concrete clues to the diagnosis.

C) Myofascial trigger point; they may develop after an initial injury to muscle fibers. This injury may be a noticeable traumatic event (say violent cough) or repetitive microtrauma to the muscles. Myofascial trigger point is a hyperirritable spot, usually within a taut band of skeletal muscle or in the muscle fascia which is painful on compression. The treatment is following;

1) passive stretching of the affected muscle after application of sprayed vapocoolant
2) physical therapy
3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation
4) local analgesic patch / ointment / spray
5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)
6) ischemic compression therapy; pressure on the points
7) massage
8) steroid shots
9) acupuncture

Please feel free for your follow up questions.

I would be happy to assist your further, if you need any more information.

Dr. Arun

Customer: replied 6 years ago.
Why would it be more at rest or bending over for long periods than when I work out and sometimes it may go away for days and come back
Expert:  Dr. Arun Phophalia replied 6 years ago.


Musculoskeletal problems may be painful on specific angles of movements and can be off and on. Muscle fiber and ligament problems are known to vary in duration and intensity. You may consider a chest x-ray and an EKG to rule out any association with heart or lung, for the cautionary reasons.

It is privilege assisting you.

Dr. Arun

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